Telephone visit by non-physician clinician for established patient at St Luke's Methodist Hospital

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PR NONPHYSICIAN TELEPHONE ASSESSMENT 5-10 MIN

Cedar Rapids, IA

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Pricing by billing methodology

Price type

How this price compares nationally

St Luke's Methodist Hospital’s median price of $13 is 9% below the median hospital's median price ($14), higher than 31% of the 1,325 hospitals reporting CPT 98966. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 98966 at St Luke's Methodist Hospital

Negotiated rates from the hospital’s own file: 6 payers, 20 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Aetna medicare advantage fee schedule · both	$11	$11	—	—	—	$11 – $11
2	Molina medicare advantage fee schedule · both	$11	$11	—	—	—	$11 – $11
3	Wellmark medicare advantage fee schedule · both	$11	$11	—	—	—	$11 – $11
4	Humana medicare advantage fee schedule · both	$11	$11	—	—	—	$11 – $11
5	UnitedHealthcare medicare advantage fee schedule · both	$11	$11	—	—	—	$11 – $11
6	UnitedHealthcare hmo fee schedule · outpatient	$12	$12	—	—	—	$12 – $12
7	UnitedHealthcare ppo fee schedule · outpatient	$12	$12	—	—	—	$12 – $12
8	Aetna medicare advantage case rate · outpatient	$13	$13	—	—	—	$13 – $13
9	Molina medicare advantage case rate · outpatient	$13	$13	—	—	—	$13 – $13
10	Wellmark medicare advantage case rate · outpatient	$13	$13	—	—	—	$13 – $13
11	Humana medicare advantage case rate · outpatient	$13	$13	—	—	—	$13 – $13
12	UnitedHealthcare medicare advantage case rate · outpatient	$13	$13	—	—	—	$13 – $13
13	Wellmark commercial fee schedule · both	$16	$16	—	—	—	$16 – $16
14	Wellmark hmo fee schedule · both	$16	$16	—	—	—	$16 – $16
15	Wellmark ppo fee schedule · both	$18	$18	—	—	—	$18 – $18
16	Aetna hmo case rate · both	$22	$22	—	—	—	$22 – $22
17	Aetna ppo case rate · both	$22	$22	—	—	—	$22 – $22
18	Cigna commercial fee schedule · both	$28	$28	—	—	—	$28 – $28
19	UnitedHealthcare hmo fee schedule · both	$33	$33	—	—	—	$33 – $33
20	UnitedHealthcare ppo fee schedule · both	$33	$33	—	—	—	$33 – $33

Last updated: Jan 28, 2026

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